| NPI | 1881024636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILAM GANGWAL Registered Dietitian 678-749-8634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA LD003621) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |